American Journal of Clinical Dermatology

, Volume 12, Issue 4, pp 247–257 | Cite as

Pediatric Psychocutaneous Disorders

A Review of Primary Psychiatric Disorders with Dermatologic Manifestations
  • Khalid Al Hawsawi
  • Elena PopeEmail author
Review Article


Psychocutaneous disorders (PCDs) are conditions that are characterized by psychiatric and skin manifestations. Classifications of PCDs and their nomenclature are matters of debate. For the purpose of this review, we adopted the classification that distinguishes primary dermatologic disorders with psychiatric comorbidity (PDDPC) from primary psychiatric disorders with dermatologic manifestations (PPDDM). PDDPC includes the psychophysiologic disorders such as atopic eczema, psoriasis, vitiligo, and alopecia areata. PPDDM includes impulse control disorders, obsessive-compulsive disorders, factitious disorder, factitious disorder by proxy, self-mutilation, delusions of parasitosis, psychogenic purpura/Gardner- Diamond syndrome, and cutaneous sensory disorders. Diagnosis and treatment of PCDs are challenging and require that the underlying psychopathology be addressed. A specific PCD may have different underlying psychopathologies and, at times, multiple overlapping psychopathologies may coexist. Most often, both non-pharmacologic management and psychopharmacologic treatment are necessary. The choice of psychopharmacologic agent depends on the nature of the underlying psychopathology (e.g. anxiety, depression, obsessive-compulsive disorder, psychosis). This article reviews the spectrum of PPDDM in children.


Anorexia Nervosa Bulimia Nervosa Tourette Syndrome Alopecia Areata Impulse Control Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



No sources of funding were used to prepare this review. The authors have no conflicts of interest that are directly relevant to the content of this review.


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© Adis Data Information BV 2011

Authors and Affiliations

  1. 1.Section of Dermatology, The Hospital for Sick ChildrenUniversity of TorontoTorontoCanada

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